中国近30年胆囊腺肌增生症流行病学特征及诊治经验

目的 探讨中国近30年胆囊腺肌增生症的流行病学特征和诊疗经验.方法 联合检索维普数据库和中国知网等多家中文数据库有关胆囊腺肌增生症的文章,使用系统综述方法总结分析胆囊腺肌增生症的流行病学特征和诊治经验.结果 中国近30年共报道2876例胆囊腺肌增生症,男女比例为0.70∶1,有准确年龄及平均年龄报道1248例,在35～55岁之间的占总病例数43.39％,平均年龄46.14岁.71％病例分布在华东、华北地区.27.68％的患者有腹痛表现.50.04％为局限型,其中,80.30％发生于胆囊底部.单纯胆囊切除是最主要的治疗手段.结论 胆囊腺肌增生症女性多发,以中青年为主.主要分布在华东、华北地区,单纯胆囊切除术为主要治疗手段.

Epidemiological feature diagnosis and treatment of adenomyomatosis of the Gallbladder in China in the past 30 years

【Objective】To study the epidemiological features of Adenomyomatosis of the Gallbladder and its diagnosis and treatment in China in the past 30 years.【Methods】Reports on Adenomyomatosis of the Gallbladder published from 1980 to 2010 were retrieved from various databases,such as China National Knowledge Infrastructure(CNKI)、VIP.The epidemiological features of Adenomyomatosis of the Gallbladder and its diagnosis and treatment made use of a systematic review method were analyzed.【Results】A total of 2 876 patients with Adenomyomatosis of the Gallbladder were reported in China during the last 30 years.The male to female ratio was approximately 0.70 ∶ 1.The average ages and accurate ages were reported in 1 248 cases,the average age of them was 46.14 years,mean age from 35 to 55 years old accounted 43.39% of the total number of cases.71% of the cases were located in East China and North China.Abdominal pain was the main clinical manifestation and clinical manifestation of abdominal pain was found in 27.68%% of the patients.50.04% of the cases that could be counted were limited,and 80.30% of these cases were in cholecystic fundus.Pure gallbladder resection was the main procedure for the treatment of Adenomyomatosis of the Gallbladder.【Conclusion】Adenomyomatosis of the Gallbladder were mainly found in young or middle aged female in East and North China,Pure gallbladder resection was the main procedure for the treatment of GBA.